| Wind Over Water | |
|
5225 Gale Dr Virginia Beach VA 23464-4114 | |
| (757) 734-1300 | |
| Not Available |
| Full Name | Wind Over Water |
|---|---|
| Speciality | Clinic/Center |
| Location | 5225 Gale Dr, Virginia Beach, Virginia |
| Authorized Official Name and Position | Kendra Ann Wilson (THERAPIST) |
| Authorized Official Contact | 7577341300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind Over Water 1225 Kempsville Road 64711 Virginia Beach VA 23464-4114 Ph: (757) 734-1300 | Wind Over Water 5225 Gale Dr Virginia Beach VA 23464-4114 Ph: (757) 734-1300 |
| NPI Number | 1740917475 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/14/2022 |
| Medicare PECOS PAC ID | 3072998525 |
|---|---|
| Medicare Enrollment ID | O20220919003313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740917475 | NPI | - | NPPES |
| 1326113630 | Other | INDIVIDUAL NPI |
| Provider Name | Kendra Ann Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326113630 PECOS PAC ID: 5092796904 Enrollment ID: I20220919003357 |
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